中西医结合治疗高龄胆石症119例

Treatment of 119 Cases of Senile Cholecystolithiasis with Chinese Medicine Combined with Western Medicine

目的 对临床高龄胆石症患者 119例采用中西医结合方法治疗 ,以期取得最佳效果。方法 共 2 2 3例 70岁以上胆石症患者 ,治疗组 119例采用中西医结合方法 ,对照组 10 4例患者采用手术方法治疗 ,对治疗结果进行对比分析。结果 治疗组痊愈 92例 (77.3% ) ,出现各种并发症 2 5例 (2 1.0 % ) ,死亡 2例 (1.7% ) ;对照组痊愈 6 2例 (5 9.6 % ) ,出现各种并发症 38例 (36 .5 % ) ,死亡 4例 (3.9% ) ,2组比较均有显著差异 (P <0 .0 5 )。结论 高龄胆石症患者病史较长 ,有急诊入院多、伴发症多、并发症发生率高的特点。采用中西医结合方法治疗明显优于单纯手术治疗 ,尤其是围手术期的中西医结合处理 ,对提高高龄胆石症患者的痊愈率有较大的临床意义。

OBJECTIVE To give treatment to 119 cases of senile cholecystolithiasis with traditional Chinese medicine combined with western medicine, so as to achieve the best results. METHOD Altogether 223 patients were divided into a treatment group of 119 patients and a control group of 104 patients, so as to compare the therapeutic effect. RESULT In the treatment group, 92 patients (77.3%) recovered, 25 patients (21.0%) had various complications and 2 patients (1.7%) died, while in the control group these figures were 59.6%, 36.5% and 3.9% respectively, with marked difference between the two groups (P<0.05). CONCLUSION Senile patients with cholecystolithiasis usually have a long history of the disease accompanied by high rates of complications. The method of treatment in which Chinese medicine is combined with western medicine is superior to simple surgical therapy and is of great clinical significance to the recovery rate of senile patients with cholecystolithiasis.